NPI | 1386171585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005599) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 536499) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95005599) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2021097528) | |
Enumeration Date | 2017-05-18 |
Last Update Date | 2023-03-13 |